| NPI | 1255739082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA TUEL Director 410-479-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: 750382) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2024-01-30 |